CORRELATION OF CAROTID ARTERY CHARACTERISTICS AND CORONARY ARTERY IN PATIENT WITH PREVIOUS MYOCARDIAL INFARCTION AND WITHOUT IT
Background: Aim of this study was to evaluate relationship between IMT and carotid artery characteristics within patient with or without myocardial infarction(MI) and to see das it correlate with extension of CAD.
Methods: In our study we include 248 patients, 56,9 years, 150 with previous MI and 98 without it, 198 male and 50 females, admitted to our hospital for coronarography, and 25 healthy patients in control group. All patients went to the echocardiography, carotid artery(CA) examination and complete laboratory testing. After taking anamnesis and physical exam, we sent them to the cathlab for angiography.
Results: We have found that only left main artery stenosis have god correlation with CCA dex area stenosis p=0,003. No other coronary artery have statistical significant correlation with stenosis on ICA or CCA. All CA stenosis have good correlation with each other p<0,001. Percent of proximal LAD stenosis have god correlation with proximal RCA stenosis p=0,022. It was no difference in IMT between patients with or without MI. Control group have thinner IMT then patients p<0,001. Patients with MI have statistical significant difference in area stenosis and all CA compare with patients without MI p<0,001. Patients with normal coronarography have IMT ICA dex thicker then patients with any coronary artery disease p=0,008.
Conclusion: We haven’t found that IMT difference in patients with or without MI, but patients with MI have higher degree in CA stenosis then patients without it. Only LM stenosis have statsisticaly significant correlation with CCA dex stenosis. Coronary artery have no statisti-caly significant correlation with each other, except proximal LAD and proximal RCA. We cann’t conclude that any characteristics of CCA and ICA have predictive value for MI or CAD